FOCUS ON YOUR PATIENTS & TOP PRIORITIES
WE AUTOMATE THE REST!
Unlike manual processes or disconnected tools that result in uninformed referrals, our solution leverages cost and quality data and AI to rank specialists and facilities to build high value preferred networks, then one click seamlessly presents the patients IdealMATCH provider within your EHR workflow.
See below how this one click also triggers automating your authorizations, scheduling, and closing the loop with your patients and providers, regardless of EHR.
STEP 1: IntelligentDATA™
Building your networks, scoring providers, and matching patients to the ideal specialist starts with accurate data.
Our Enterprise Data Warehouse overcomes the challenge of aggregating and accessing your data by organizing and normalizing disparate clinical and claims data into six categories:
Subjective • Access • Volume • Loyalty • Outcomes • Cost
You assign weights to each category to create an overall IdealMATCH score, giving you the ability to objectively rank providers and facilities.
2: NetworkMANAGEMENT™
With your IdealMATCH scores created, you can now compare specialists by location and manage referral steerage within your networks from a single, centralized map view.
Your networks can be organized by specific organizational goals or objectives – i.e. by payor, geography, or contract type to separate fee-for-service and value-based arrangements.
3: Auto IdealMATCH™
Once your networks have been organized, you can now initiate referrals within your EHR with one click of our IdealMATCH button, which then presents the highest quality, lowest cost, in-network provider, facility, or social service resource.
Note: IdealMATCH factors in patient preference or need criteria such as language, gender, religion, SDoH, and or special transportation assistance.
4: Auto PriorAUTH™
Upon each referral being submitted, SARA (our Auto ReferralCOORDINATOR™) initiates the automated prior-authorization process as needed and then notifies you when the approval status is updated.
Note: SARA pushes patient details through an API, thus eliminating common portal login and manual input steps.
5: Auto ReferralCOORDINATOR™
SARA engages patients in their preferred language and mode (text, email, voicemail); helps them schedule their appointment, sends them reminders, makes sure they show up, and follows up after their appt.
SARA tracks each patients referral journey, updates the referral CRM with timestamped pertinent notes, and captures patient experience on a 1 to 5 scale which can be used as a metric to adjust IdealMATCH scores.
Note: SARA provides faster and higher contact rates for scheduling, sharing data, and closing the loop.
6: Auto Specialist CLOSELOOP™
Once the appointment is complete, SARA will begin an automated fax sequence with the specialist requesting the consult note be sent back to the referring PCP.
Note: Given that we can ingest your claims and HIE feeds, you will have access to closed loop dashboards giving full visibility into patient shows, what the diagnosis or procedure was, and the actual cost.
7: Auto 360° VISIBILITY™
The only way to improve is to measure. Our solution allows you to measure every step of the referral journey, from initial order through closed-loop.
Analyze organizational performance and compare each provider, clinic, specialist, facility, or contract to make data-driven improvements that eliminate leakage, control costs, and increase quality and revenue.
Note: Each quarter, our team will present you with an executive overview of key performance indicators and delta improvements.
8: Referral STAFF OUTSOURCE
In addition to our core offering, we offer end-to-end referral management services. Meaning, you can outsource all or any portion of your referral or prior authorization related tasks to us. We’ll process referral orders, PAs, and close the loop; we’ll even put the consult notes in the patient chart.
Your staff can focus on patient interactions and other important care tasks without worrying about backlogs or chasing down payers, patients, or specialists.
3 STEPS TO TRANSFORM YOUR REFERRALS
1. REQUEST A PERSONALIZED DEMO
First, we'll meet briefly to understand your use-case, process, and goals so we can present a personalized demo.
2. RECEIVE A CUSTOM BLUEPRINT
We'll then build a custom blueprint outlining the cost of your current process with plan to fix it.
3. INCREASE REVENUE & SHARED SAVINGS
Enjoy the clinical and financial benefits of a new referral process while tracking progress over time.
INTEGRATION & SECURITY STANDARDS
ReferralPoint provides seamless workflow and integration across multiple EHRs and PM systems. Our integration transactions and standards include:
- Direct Message
- API
- FHIR
- HL7
- Single Sign-On
- CDA
- CCD
